DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Etienne, Davidson	DOIID	1354706	NAIC NPN	21262220

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2024		4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/9/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/19/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	9/19/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/9/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/2/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/22/2024	5/15/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/9/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/9/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/16/2026
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/5/2025	3/16/2026
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/24/2026
Active	SilverScript Insurance Company	663526	Agent - Health	9/19/2025
Active	Tier One Insurance Company	301056	Agent - Health	4/21/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	8/27/2024	2/13/2025